Cerebral Thrombosis Diagnosis: Case Study of a 69-Year-Old Patient with Hypertension

The correct choice is E. Cerebral thrombosis.

The reason is that the patient has a history of hypertension, which is a risk factor for the development of a blood clot in the brain. The symptoms of weakness in the right hand, slurred speech, and difficulty walking are consistent with a stroke, which is caused by a blockage of blood flow in the brain. The positive Babinski sign also suggests a neurological deficit. Cerebral thrombosis is a type of stroke caused by a blood clot in the brain.

The other choices are incorrect because:

A. Cerebral hemorrhage would present with sudden severe headache, nausea, vomiting, and loss of consciousness.

B. Brain tumor would present with progressive symptoms over time such as headaches, seizures, and changes in vision or personality.

C. Cerebral embolism is another type of stroke caused by a blood clot that travels from another part of the body to the brain. However, there is no history of recent surgery or heart disease, which are common causes of embolism.

D. TIA (transient ischemic attack) is a temporary blockage of blood flow to the brain, which resolves within 24 hours. However, the patient's symptoms have lasted for more than 24 hours.